Surgical diagnosis and treatment v.4, 1922, 4. cilt

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Lea & Febiger, 1922
 

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Sayfa 947 - Therefore, when we build, let us think that we build forever. Let it not be for present delight, nor for present use alone; let it be such work as our descendants will thank us for, and let us think...
Sayfa 947 - Let it not be for present delight, nor for present use alone; let it be such work as our descendants will thank us for, and let us think, as we lay stone on stone, that a time is to come when those stones will be held sacred because our hands have touched them, and that men will say as they look upon the labour and wrought substance of them, "See! this our fathers did for us.
Sayfa 933 - It is not for nothing that he has in him these sympathies with some principles and repugnance to others. He, with all his capacities, and aspirations, and beliefs, is not an accident, but a product of the time. He must remember that while he is a descendant of the past, he is a parent of the future : and that his thoughts are his children born to him, which he may not carelessly let die.
Sayfa 34 - The operation should not be allowed longer than one week after the injury. The open method when adopted should be employed early. It may be used at any age period, except in senile cases, whenever a skiagram shows a deformity or a position of the fragments which obviously cannot be reduced or when proper efforts at reduction and retention have proved unavailing. Some form of rigid plate applied directly to the bone or an Albee "inlay" seems to be the best fixation method in operative cases.
Sayfa 855 - ... is then applied and the patient put to bed, for a few hours, or a few days, depending on the severity of the case. In subsequent treatments the patients are usually allowed to walk about immediately after the injection. 6. The first dressing is done the following day. If the discharge, which before injection was creamy or profuse, has changed to a serous consistency, it is to be regarded as a favorable sign, and a microscopic examination will usually prove it to have become sterile. If the discharge...
Sayfa 401 - It is usually advisable to keep all stumps elevated while the patient is recumbent, and therefore particular attention should be directed to thigh amputations because this position favors a flexion contracture; to counteract this tendency it is recommended that once or twice each day the pillow be removed from under the stump and placed under the buttock, thus allowing the stump to drop into hyperextension. Further, advantage should be taken of the position in which the stump is dressed in order...
Sayfa 403 - ... and supination in activating the artificial hand will depend upon the degree possible, the loss of even a few degrees making a great difference. Of the movements of the shoulder girdle (upward, downward, forward, backward, and circumduction), the upward and backward ones are the most important ; these may be easily tested with the patient lying at the edge of the bed or turned on the opposite side. At the knee it is well to remember that there are normally a few degrees of recurvation. In testing...
Sayfa 400 - While the incision is healing, at each dressing the stump should be moved to the full limit in the opposite direction to that in which a contracture is likely to develop. In forearm stumps, movement should be carried out in supination and extension; in upper arm amputations, in upward and backward motions; in the lower leg, in extension; and in thigh amputations, in extension (securing hyperextension) and abduction.
Sayfa 394 - A Thomas knee splint is cut down and a 9-inch square riveted on to the side bars 12 inches beyond the end of stump. An 8-inch circle of aluminium is attached by gauze and glue to the skin of the stump so as to be 6 inches distal to the cut surface. Extension is made from the ring to the square either by tapes or rubber bands. The square acts as a pedestal and also for the attachment of the extensions.
Sayfa 855 - ... the paste slowly but firmly forced into its channel until it is seen to escape from the nearest opening. Then the finger is quickly placed against this opening to prevent the escape of the paste, and the injection is continued until the patient begins to complain of some pressure. If there are many openings, an assistant must occlude all of them with his fingers during the injection, in order to be certain that all the branches of the sinuses have been filled. 4. After the injection another set...

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